Ind. IHCP Hospice Services Provider Reference Module, Section 2, Hospice Providers Located Outside Indiana

Hospice providers must be enrolled in the IHCP as a hospice provider, as outlined in 405 IAC 5-34-2 and

405 IAC 5-34-3. Hospice providers must obtain an Indiana state hospice license, as the IDOH does not

recognize reciprocity of hospice licensure from other state survey agencies.

Indiana law does not permit the IDOH to enter reciprocal agreements with other state agencies concerning

Indiana hospice licensure. Therefore, the IDOH cannot accept any other state hospice license (including Ohio,

Illinois, Michigan or Kentucky) as satisfying Indiana licensing requirements. The IDOH does not have the

legal authority to cross state lines to survey out-of-state hospice providers.

Out-of-state hospice providers need to take the following steps to obtain an Indiana state hospice license or

approval:

• Open a fully operational, fully staffed hospice office location in Indiana that complies with all the

Medicare hospice conditions of participation in 42 CFR 418.

• Contact the IDOH Acute Care Division for information about the application process to obtain a n

Indiana state hospice license or approval.

• Contact the IDOH Acute Care Division to obtain an application for Medicare certification for the

Indiana hospice office license. If the hospice decides to have the state survey agency of the parent

office perform the Medicare certification survey, the hospice should provid e the IDOH Acute Care

Division with a copy of that Medicare Hospice Certification Letter.